Current research status and clinical applicantions of resin-ceramic composites

doi:10.3877/cma.j.issn.1674-1366.2024.02.002

Abstract

Abstract:

In recent years, a new type of resin matrix ceramic composite material has already been applied to restore tooth defection as well as to manufacture crowns on implants. It mainly includes two categories: Resin-based ceramic (RBC) and polymer-infiltrated ceramic network (PICN) . This paper provided a review of the mechanical properties, aesthetic characteristics, and clinical applications of resin matrix ceramic composite materials. The results indicated that the mechanical properties of resin matrix ceramic composite materials were between resin composite and ceramics, which were slightly higher than that of resin but significantly lower than that of reinforced glass-ceramics and zirconia. The advantages of such materials included their elastic modulus being close to that of enamel, and better fatigue resistance compared to ceramics. However, further optimization is needed in terms of mechanical strength and fracture toughness. The transparency of resin matrix ceramic composite materials was not as good as that of reinforced glass-ceramics, and their color stability was between resin composite and ceramics. In terms of clinical performance, resin matrix ceramic composite materials have been mainly used for inlays, onlays, and partial crowns currently, exhibiting similar survival rates to ceramics in the short-term clinical follow-ups. PICN may be more suitable for implant-supported full crowns. More evidence is needed to support the long-term clinical performance of these materials.

Key words: Resin-ceramic composites, Resin composites, Ceramics, Mechanical properties, Translucency, Survival rate

Lin Li, Wen Yang, Xiaodong Wang. Current research status and clinical applicantions of resin-ceramic composites[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2024, 18(02): 80-88.

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References 82

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材料种类	生产商	组成		弯曲强度（MPa）	硬度（HV）	弹性模量（GPa）	断裂韧性（MPa·m^1/2）
材料种类	生产商	单体	填料	弯曲强度（MPa）	硬度（HV）	弹性模量（GPa）	断裂韧性（MPa·m^1/2）
PICN	Vita Enamic、Vita Zahnfabrik	UDMA、TEGDMA	富含Al₂O₃的长石质陶瓷	140 ~ 161^[10,27]	195 ~ 205^[28,29]	30.0^a	1.22 ~ 1.54^[30]
树脂基陶瓷	Lava Ultimate、3M ESPE	Bis - GMA、UDMA、Bis-EMA、TEGDMA	SiO₂、ZrO₂纳米颗粒	198 ~ 203^[10,31]	96 ~ 114^{[23,28,29,32]}	12.7 ~ 16.8^[33,34,35]	1.56 ~ 1.90^[30]
	Cerasmart、GC	Bis - MEPP、UDMA、DMA	SiO₂-glass、Ba-glass纳米颗粒	176 ~ 228^[10,27,31]	62 ~ 80^{[23,29,32,36]}	8.4 ~ 8.5^[35,37]	1.06 ~ 1.24^[30]
	Shofu block HC、Shofu	UDMA、TEGDMA	SiO₂、ZrSiO₄	158 ~ 166^[10,31]	73 ~ 87^[30,33,37]	8.2^[37]	0.97 ~ 1.15^[30]
	Paradigm、MZ1003M ESPE	Bis-GMA、TEGDMA	超细SiO₂、ZrO₂颗粒	146^a	103^[23]	14.1^[23]	1.50 ~ 1.92^[30]
	Brilliant Crios、Coltene	Bis-GMA、Bis-EMA、TEGDMA	Ba - glass、SiO₂纳米颗粒	198^[14]	73 ~ 78^[38]	10.3^[14]	1.55 ~ 1.27^[39]
	Tetric CAD、Ivoclar Vivadent	Bis-GMA、Bis-EMA、TEGDMA、UDMA	SiO₂、Ba-glass	274^[14]	72 ~ 77^[38]	10.2^[14]	-
	Grandio Blocs、VOCO	UDMA、DMA	SiO₂纳米颗粒、Ba-glass	250 ~ 290^[14]	135 ~ 146^[38]	15.5^[14]	1.59 ~ 1.89^[30]
复合树脂	Filtek Z350 XT、3M ESPE	Bis - GMA、UDMA、TEGDMA、Bis-EMA	SiO₂、ZrO₂纳米颗粒	119^[40]	70 ~ 78^[41]	5.3 ~ 6.3^[40,42]	1.39^[43]
长石质陶瓷	VITABLOCS Mark Ⅱ、Vita Zahnfabrik	长石质陶瓷（SiO₂、Al₂O₃、Na₂O、K₂O、CaO、TiO₂）		139 ~ 169^a	449 ~ 455^[44]	44.5 ~ 45.5^a	1.36 ~ 1.45^[45]
增强型玻璃陶瓷	IPS e.max CAD、Ivoclar Vivadent	二硅酸锂玻璃陶瓷（SiO₂、Li₂O、K₂O、MgO、P₂O₅、Al₂O₃）		530^a	452 ~ 731^[13]	58.0 ~ 110.0^[13]	2.11^a
氧化锆陶瓷	IPS e.max ZirCAD、Ivoclar Vivadent	3 mol%钇稳定四方多晶氧化锆（3Y-TZP）		850 ~ 1 200^a	1 506 ~ 1 579^[46]	201.4^[33]	3.60 ~ 5.10^a
牙釉质	-	-		-	300 ~ 500^[6]	40.0 ~ 100.0^[6]	0.65 ~ 2.50^[47]
牙本质	-	-		-	50 ~ 100^[6]	10.0 ~ 30.0^[6]	2.20 ~ 3.40^[48]

材料种类	生产商	组成		弯曲强度（MPa）	硬度（HV）	弹性模量（GPa）	断裂韧性（MPa·m^1/2）
材料种类	生产商	单体	填料	弯曲强度（MPa）	硬度（HV）	弹性模量（GPa）	断裂韧性（MPa·m^1/2）
PICN	Vita Enamic、Vita Zahnfabrik	UDMA、TEGDMA	富含Al₂O₃的长石质陶瓷	140 ~ 161^[10,27]	195 ~ 205^[28,29]	30.0^a	1.22 ~ 1.54^[30]
树脂基陶瓷	Lava Ultimate、3M ESPE	Bis - GMA、UDMA、Bis-EMA、TEGDMA	SiO₂、ZrO₂纳米颗粒	198 ~ 203^[10,31]	96 ~ 114^{[23,28,29,32]}	12.7 ~ 16.8^[33,34,35]	1.56 ~ 1.90^[30]
	Cerasmart、GC	Bis - MEPP、UDMA、DMA	SiO₂-glass、Ba-glass纳米颗粒	176 ~ 228^[10,27,31]	62 ~ 80^{[23,29,32,36]}	8.4 ~ 8.5^[35,37]	1.06 ~ 1.24^[30]
	Shofu block HC、Shofu	UDMA、TEGDMA	SiO₂、ZrSiO₄	158 ~ 166^[10,31]	73 ~ 87^[30,33,37]	8.2^[37]	0.97 ~ 1.15^[30]
	Paradigm、MZ1003M ESPE	Bis-GMA、TEGDMA	超细SiO₂、ZrO₂颗粒	146^a	103^[23]	14.1^[23]	1.50 ~ 1.92^[30]
	Brilliant Crios、Coltene	Bis-GMA、Bis-EMA、TEGDMA	Ba - glass、SiO₂纳米颗粒	198^[14]	73 ~ 78^[38]	10.3^[14]	1.55 ~ 1.27^[39]
	Tetric CAD、Ivoclar Vivadent	Bis-GMA、Bis-EMA、TEGDMA、UDMA	SiO₂、Ba-glass	274^[14]	72 ~ 77^[38]	10.2^[14]	-
	Grandio Blocs、VOCO	UDMA、DMA	SiO₂纳米颗粒、Ba-glass	250 ~ 290^[14]	135 ~ 146^[38]	15.5^[14]	1.59 ~ 1.89^[30]
复合树脂	Filtek Z350 XT、3M ESPE	Bis - GMA、UDMA、TEGDMA、Bis-EMA	SiO₂、ZrO₂纳米颗粒	119^[40]	70 ~ 78^[41]	5.3 ~ 6.3^[40,42]	1.39^[43]
长石质陶瓷	VITABLOCS Mark Ⅱ、Vita Zahnfabrik	长石质陶瓷（SiO₂、Al₂O₃、Na₂O、K₂O、CaO、TiO₂）		139 ~ 169^a	449 ~ 455^[44]	44.5 ~ 45.5^a	1.36 ~ 1.45^[45]
增强型玻璃陶瓷	IPS e.max CAD、Ivoclar Vivadent	二硅酸锂玻璃陶瓷（SiO₂、Li₂O、K₂O、MgO、P₂O₅、Al₂O₃）		530^a	452 ~ 731^[13]	58.0 ~ 110.0^[13]	2.11^a
氧化锆陶瓷	IPS e.max ZirCAD、Ivoclar Vivadent	3 mol%钇稳定四方多晶氧化锆（3Y-TZP）		850 ~ 1 200^a	1 506 ~ 1 579^[46]	201.4^[33]	3.60 ~ 5.10^a
牙釉质	-	-		-	300 ~ 500^[6]	40.0 ~ 100.0^[6]	0.65 ~ 2.50^[47]
牙本质	-	-		-	50 ~ 100^[6]	10.0 ~ 30.0^[6]	2.20 ~ 3.40^[48]

年份	作者	修复体种类	材料	失败/并发症（%）					随访时间（月）	成功率（%）	存留率（%）
年份	作者	修复体种类	材料	样本量	继发龋	折裂	脱落	崩瓷	随访时间（月）	成功率（%）	存留率（%）
2016	Chirumamilla等^[55]	单冠	Vita Enamic	45	7.1	无（1例隐裂基牙折裂）	7.1	无	24	无报道	树脂水门汀：96.8；树脂改良型玻璃离子：92.9
2018	Zimmermann等^[56]	部分冠	Lava Ultimate	42	无报道	无（2例基牙折裂）	7.1	无报道	24	无报道	85.7
2018	Spitznagel等^[57]	嵌体、部分冠	Vita Enamic	103	无	3.8	无	5	36	嵌体：84.8 部分冠：82.4	嵌体：97.4 部分冠：95.6
2018	Lu等^[58]	高嵌体	Vita Enamic	67	无	无（1例基牙折裂）	1.5	无报道	36	无报道	97
2019	Tunac等^[59]	嵌体	Lava Ultimate	60	无	无	无	无报道	24	100	100
2019	Miura等^[60]	单冠（部分为RPD基牙）	Lava Ultimate Cerasmart Block HC KZR-CAD	60 547（30个为RPD基牙）	无报道	1.6	12.8	无报道	36	71.7	96.4
2020	Spitznagel等^[61]	单冠	Vita Enamic	76	无	6.5	无	无报道	36	92.7	93
2020	Fasbinder等^[62]	高嵌体	Lava Ultimate	60	无报道	1.6	无报道	1.6	60	无报道	95
2020	Coşkun等^[63]	嵌体、高嵌体	Cerasmart	30	无	无	无	无报道	24	100	100
2022	Rocha等^[64]	嵌体、高嵌体	Grandio Blocs	30	无	3.33	3.33	3.33	24	90	90
2023	Deniz等^[65]	单冠	Vita Enamic	12	无	无	无	无报道	12	无报道	100

年份	作者	修复体种类	材料	失败/并发症（%）					随访时间（月）	成功率（%）	存留率（%）
年份	作者	修复体种类	材料	样本量	继发龋	折裂	脱落	崩瓷	随访时间（月）	成功率（%）	存留率（%）
2016	Chirumamilla等^[55]	单冠	Vita Enamic	45	7.1	无（1例隐裂基牙折裂）	7.1	无	24	无报道	树脂水门汀：96.8；树脂改良型玻璃离子：92.9
2018	Zimmermann等^[56]	部分冠	Lava Ultimate	42	无报道	无（2例基牙折裂）	7.1	无报道	24	无报道	85.7
2018	Spitznagel等^[57]	嵌体、部分冠	Vita Enamic	103	无	3.8	无	5	36	嵌体：84.8 部分冠：82.4	嵌体：97.4 部分冠：95.6
2018	Lu等^[58]	高嵌体	Vita Enamic	67	无	无（1例基牙折裂）	1.5	无报道	36	无报道	97
2019	Tunac等^[59]	嵌体	Lava Ultimate	60	无	无	无	无报道	24	100	100
2019	Miura等^[60]	单冠（部分为RPD基牙）	Lava Ultimate Cerasmart Block HC KZR-CAD	60 547（30个为RPD基牙）	无报道	1.6	12.8	无报道	36	71.7	96.4
2020	Spitznagel等^[61]	单冠	Vita Enamic	76	无	6.5	无	无报道	36	92.7	93
2020	Fasbinder等^[62]	高嵌体	Lava Ultimate	60	无报道	1.6	无报道	1.6	60	无报道	95
2020	Coşkun等^[63]	嵌体、高嵌体	Cerasmart	30	无	无	无	无报道	24	100	100
2022	Rocha等^[64]	嵌体、高嵌体	Grandio Blocs	30	无	3.33	3.33	3.33	24	90	90
2023	Deniz等^[65]	单冠	Vita Enamic	12	无	无	无	无报道	12	无报道	100

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